Provider Demographics
NPI:1962029686
Name:WARNER, RACHEL LYNN (ATC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:WARNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNN
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13502 DONNYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2501
Mailing Address - Country:US
Mailing Address - Phone:817-691-7491
Mailing Address - Fax:
Practice Address - Street 1:18501 MAUGANS AVE STE 101
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-3393
Practice Address - Country:US
Practice Address - Phone:301-733-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT80272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer